WPC 0nBI&9Y?÷Q `}ߚ(Ǯct:,IR3 6ИPo#R:oF饦@gq "` {M5<`U%6a0 O1OW9Gs<7xj^w:UDz鉎|0$/$ptrc cJU5+D.ٖ3H_jwLPVV)@Jv-TcQc(+i=I$߇8O5!UwAmhN<2j:՘ζ/Ѵ(14E_~Շ,3R3ƱCUKim(^iO#-7XfX&<ǵSy.*z^EfTXs'0*hH,O$6a#;*gE]n vvM+$WT3 ni⨐[ ˌA#UNO % 0(U:fafaf1a3^ GS mUwl4pfafafa 0c 1uV N 72 0w 0v 0 0 BT 0q 08 0 0D 1F 72 1 72 06EPSON Stylus COLOR 4000(  Z 6Times New Roman RegularX($,{AZ"Arial RegularTABLE ATABLE BTABLE C<o) USa)3|x  ѐTABLE FTABLE GTABLE H(;3$2#  0  .3  0  3#37=CIQYag1.a.i.(1)(a)(i)1)a)i)(O;$0  2#  a  .3  0` (#(#(b$0  0` (#(#2#   .3  0 ` (#` (#(xir$0  0` (#(#0 ` (#` (#2#(  0  )3  0 (# (#($0  0` (#(#0 ` (#` (#0 (# (#2#(  a  )3  0h(#(# d(F$0  0` (#(#0 ` (#` (#0 (# (#0h(#(#2#(   )3  0h(#h(#($0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#2#  0  )3  0(#(#({$0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#2#  a  )3  0p(#(#(F$0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#0p(#(#2#     )3  0p(#p(#  !#$%yxIosw{Shadowed BoxShadowed Check Boxoooooooo'&o !#$%x@CEIMQUY]aAutoList1qqqqqqqq1)a))&q2f$Squareo !  _XXXXbXX  ^RESPONSESAFETYSECURITY&INVESTIGATION   b11812720,_QUEENSVIEW_ԀDRIVE,OTTAWAONTARIOK2B1A5OFFICE:5672737FAX:5969747 ,  ALARMRESPONSE ORDERFORM   XX*"ddd Xdd Xdd XI'I',Vdd ,Vdd +   XX CLIENT Oc     ALARMCOMPANY  Oc   ADDRESS#  -   STREET: ___________________________ City: 󀀀______________________ O c   PostalCode :____________ 򀀀CrossStreet: ______________     CONTACTPERSONS. 󀀀TELEPHONE#, ,(home,pager,cell# ,,#, ,other)# ,,#  - 1._________________________H.#_______________Alter#:__򀀀________ O c  2._________________________H.#_______________Alter#:__򀀀________    TELEPHONE#:______________________Ext::   ̀Fax#:_____________________   MainContact____________________________  .  CreditCardInfo: PleaseapplyallchargestothefollowingcreditCard.   ̀Card#___________________________, ,Expiry# ,,`#:_______^ \MasterCard# \^Ʋ#Ԁq^ \VISA# \^ #^ \Ԁq# \^K #Ԁ   ̀ 2 CardAuthorization:X______________________, ,Name# ,, #Ԁ____________________    ) !#$%&(@x3PerCallService`OԀq#`O #, ,Ԁ(seebelowforrate)# ,,J #Ԁ   Annualfee`Oq#`O #Ԁ$85.00for5alarmsperyear.Additionalalarmsat$30.00/call     *x" ddVdd VVdd V"I'I'x,&dd +    XX  TYPEOFALARMRESPONSEREQUIRED""6!  " *e " dd&dd &" I'I'e,Vdd ,Vdd +  BV!BV @f  g XX@fOo  ݀Ԁ BURGLARYԀ/ CAMBRIOLAGE@fO݌  " Ќ  @f  @fKo  ݀ RESIDENTIAL @fKf݌  # Ќ  @f  @fo  ݀ FIRE /_FEU_<Ԁ(WhenKeyServicechosen)@f݌  $ Ќ  @f  @fo  򀀀COMMERCIAL %@f݌  % Ќ  @f  @fo  ݀ PANIC/ _PANIQUE_Ԁ(WhenKeyServicechosen)@f݌  dx& Ќ  KEYRESPONSE: 󀀀YESNO dx' Ѐ(IfYES,seebelow) g$40.00percallOR$95.00peryearmax5calls#g  #  /C( @f  @fo  ݀ OPEN/CLOSE/ OUVERTURE/FERMETURE@f݌  ) Ќ  KEYBOX:c 󀀀YESNO  * @f  @fo  ݀ LOWTEMP.SENSOR$/ _BAISSE_ԀDETEMPERATURE@f݌  + Ќ  OFFICEUSEONLY:  , @f  @fo  ݀ OTHER /AUTREY:@f1݌  FZ- Ќ  ݀AlarmCodeAssigned:KeyBoxCode: FZ. PatrolZoneAllocation:   /   dx0  dx1  *x"ddVdd VVdd V " I'I'x,&dd +  Ym1Ym   SPECIALINSTRUCTIONS7 "2  "*e"dd&dd &"I'I'e,&dd +  2    03   u! 4  "!5    V$j#6   %$7   '&8   a(u'9 Theclientagreestopayanannualregistrationfeeof$20.00.Theclientagreestopaytheabovefeesforamaximumof20 )(: minutesonsite.Anadditional$15.00willbechargedforeverysubsequent20minutesrequiredonsite.Timeandahalfwillbe *); chargedforstatutoryholidays.Theclientwillbebilledforthechargesonaperoccurrencebasisandallinvoicesaredueupon D+X*< receiptandwillbebilledtotheabovecreditcard.Afinancechargeof3%permonthwillbeappliedtoanyunpaidinvoices.The  ,+= aboveagreesthattheyhavereadandunderstoodalltermsandconditionsofthisagreementandaffixtheirsignaturein ,+> agreement. -,?  *l"dd&dd &"I'I'l,add ,dd ,Ndd +  ).-?.- f)CLIENTAPPROVAL:DATE: ..@  '/.A 'RESPONSEAGENT '..B 'DATE'..C f '^